Healthcare Provider Details

I. General information

NPI: 1184823841
Provider Name (Legal Business Name): SUGHOSH DHAKAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/06/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 SAUNDERS SETTLEMENT RD
SANBORN NY
14132-9128
US

IV. Provider business mailing address

3085 HARLEM RD STE 350
CHEEKTOWAGA NY
14225-2591
US

V. Phone/Fax

Practice location:
  • Phone: 716-898-2800
  • Fax: 716-898-2805
Mailing address:
  • Phone: 716-844-5600
  • Fax: 716-844-5750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number265853
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: